Intended audience: clinical services coord - csc

The allocation recommendation can be re-run multiple times for a consented organ, to obtain new ranked lists of eligible recipients.

This may be required in cases where:

  • A newly identified HSH or high status liver patient gets listed in the Canadian Transplant Registry (CTR).

  • Significant information about the donor or organ is changed on OATS. The allocation recommendation may be re-run to ensure the new information is properly factored into the recommendation.


Re-running an allocation recommendation

Pre-requisite: An allocation has already been run for the consented organ.

To re-run an allocation recommendation:

  1. Go to the donor profile, then select Organ > Allocation / eOffer on the left side of the page.


  2. The available allocation controls change to allow you to re-run the allocation


  3. Select the Re-Run Allocation Recommendation button.

  4. The system asks for confirmation that the allocation is to be re-run.


  5. Select:

    • OK to continue.

    • Cancel to return to the previous step

When a previously executed allocation is re-run, the system will create a new allocation recommendation list carrying over all proposed offers (primary and back up), accepted offers (primary and back up), declines, and no offers from the previous allocation.

If a recipient with an accepted offer in the previous allocation list is excluded when the allocation is re-run, the system will display a pop-up,

Newly added recipient(s) in the Allocation/eOffer will be displayed as a highlighted row in red.

The system compiles, filters, and ranks all eligible organ recipients.
The system expands the Allocation/eOffer section to show the new allocation recommendation.

Expanded Allocation/eOffer section


Re-running an allocation with new Exceptional Distribution (ExD)

If an allocation is re-run after ExD is applied and offers have already been accepted, the system will:

  1. When an allocation is re-run due to a Donor with Exceptional Distribution (ExD) update from ‘No’ to ‘Yes’, an ‘Accept ExD’ button will add to the recipient row in the “Offer Response” section

    Example - Allocation recommendation

  2. When the “Accept ExD” button is selected, an offer confirmation pop-up opens to identify that this offer is being accepted despite the ExD.

  3. The system presents an exceptional distribution confirmation window.


    image-20250424-175116.png
    1. Select Yes under Accept Exceptional Distribution.

    2. Select a Reason from the dropdown.

    3. Provide addition detail if Reason is Other.

  4. Select the Confirm and Save Responses button.

    • Select the Cancel button to close the window without accepting the ExD offer.


Next steps

See related topics